HomeMy WebLinkAboutMisc LetterPLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
23OO VIRGINIA AVE
FORT PIERCE, BL 34982
(772) 462-rs53 FAX 462-rs78
CHANGE OF'CONTRACTOR. SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
_CHANGE OF CONTRACTOR - Change of Contractor is to be signed and notarized by the property owner,
andthenewcontractorofrecordforthe current permit. A new permit application must also be completed with new
contractor information and signature, A new Notice of Commencement must be filed in the new contractor's name
for job values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be submitted prior to
commencing any work. There is a $50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR - Subcontractor changes are to be signed by the general contractor only.
The new subcontractor must fill out a Subcontractor Agreement Form which is signed by both the contractor and
There is a $50.00 fee for the Change of Sub-Contractor.
ELLATION OF PERMIT - The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date:Permit Number:
*lEt
State License SLC License
New GC, subcontractor or owner/builder
Reason for Cancell
The undersiened does agree to indemnif, and hold harmless St Lucie County, its officers, agents and employees from all
any and all claims of action for any reason, which may arise as a result of this change of
lation of permit. A permit cannot be cancelled if work has been performed.
OF SIGNATURE GENERAL CONTRACTOR (or new GC, as applicable)
NAM PRINTNAME
State ofFlorid4 County of St. Lucie County
before me this
I GC, subcontractor or owner/builder
costs, fees or damages
SIGNA
rslng
or ca
JR
'l
, Dy_
State of Florid4 County of St Lucie County
The following instrument was acknowledged before me this
_day of ,20_,by
who is personally known to
me or who has oroduced as ID
' "llfflNf U HOP|{ilS{0N}IEI'Y'
MY C0MMI9$0+# Ff 941411
EXPtReg: Oroember 6' 2019
Bondid Thil ilobty PuHo Undarntas
to me
Signature ofNotary